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Utah rates for HCPCS 62305

Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $269.15 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $302.00 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $275.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $3,162.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $398.11 / $707.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $562.34
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $398.11 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $416.87